Pathology EMQ template.

Name:

Candidate number:

Theme: Blood Transfusions 2

 

OPTION LIST

 

A	ABO incompatible (‘wrong blood’)	I	Graft vs. Host Disease (GvHD)
B	Acute Rejection	J	Immune Modulation
C	Anaphylaxis	K	Iron Overload
D	Bacterial Contamination	L	Massive Transfusion
E	Circulatory Shock	M	Post-Transfusion Purpura
F	Delayed Haemolytic Transfusion Reaction	N	Transfusion Associated Circulatory Overload (TACO)
G	Febrile Non-Haemolytic Reaction	O	Transfusion Related Acute Lung Injury (TRALI)
H	Fluid Overload	P	Viral Infection

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 60 year old female receiving chemotherapy receives a platelet transfusion. She soon develops fever and rigor and is found to be significantly hypotensive.

 

2.  A 30 year old male receives a bone marrow transplant. Over the next few days the patient develops severe diarrhoea, abdominal pain and vomiting as well as a rash that initially started on the palm of the hands, but soon became widespread.

 

3. A 20 year old female with known IgA deficiency develops dyspnoea, stridor, severe hypotension and tachycardia following a blood transfusion.

 

4. A 30 year old male involved in a road traffic accident (RTA), becomes restless and develops fever and chills immediately following blood transfusion. The patient later develops pink urine. A patient involved in a similar incident was brought in at the same time.

 

5. A 42 year old woman develops shortness of breath and hypoxia following blood transfusion. On x-ray she is shown to have pulmonary oedema. She has no previous history of cardiac disease  

 

 

 

ANSWERS

1. D

2. I

3. C

4. A

5. O